Hypertensive Heart Disease

A Guide to Hypertensive Heart Disease

Hypertensive heart disease is a more serious and dangerous type of heart disease and it is typically caused by uncontrolled and prolonged high blood pressure. It can lead to a variety of changes in the myocardial structure, coronary vasculature, and conduction system of the heart.

The pathophysiology of hypertensive heart disease is a very complex interplay of various different hemodynamic, structural, neuroendocrine, cellular and molecular factors. Although valvular disease is not known to cause hypertensive heart disease, what is known is that chronic and severe hypertension can cause aortic root dilatation, which can in turn lead to significant aortic insufficiency.

Heart Failure

Heart failure is a common complication of hypertensive heart disease, and it is frequently unrecognized, partially because of how at the time that heart failure actually develops, the dysfunctioning LV is unable to generate the high blood pressure, which results in obscuring the etiology of the heart failure.

Diastolic Dysfunction

This is another common complication of hypertensive heart disease, and it is usually but not always accompanied by LVH. There are various factors that are considered as being able to contribute to the development of diastolic dysfunction, and this includes: coexistent coronary artery disease, aging, systolic dysfunction, and structural abnormalities such as fibrosis.

Treatment

Treatment for hypertensive heart disease is quite complex. There is an option for non-medicinal treatment, which includes dietary sodium restriction, regular moderate exercise, smoking cessation and weight reduction when appropriate. Then there is also the option of medicinal therapy for hypertension, for which the primary goal is to normalize systolic and diastolic blood pressures. A wide variety of medication classes are recommended as an initial therapy for achieving blood pressure control.

As long as you get examined by your doctor regularly and work together with them in order to treat your hypertensive heart disease as best as possible, then you will be able to come out with the most effective and positive results. You just need to remember that even if your heart disease is successfully treated, you should maintain the healthy lifestyle in the future. This means having a healthy and nutritious diet and getting a good balance of physical activity in your daily schedule.

By doing this you will not only prevent your heart problems from returning but you will be able to protect yourself against various other ailments as well. So having a healthy lifestyle will benefit you in many ways.